Individual
PAULETTA G BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1109
(502) 361-0637
(502) 361-0636
Mailing address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1109
(502) 361-0637
(502) 361-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5332
STATE LICENSE NUMBER
KY
Enumeration date
02/23/2007
Last updated
07/08/2007
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