Organization
BEAUMONT FAMILY DENTISTRY AT LEESTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E TAKACS DMD (DENTIST/OWNER)
(859) 223-2120
Entity
Organization
Contact information
Practice address
100 TRADE ST, SUITE175, LEXINGTON, KY 40511-2634
(859) 368-8206
(859) 554-6150
Mailing address
100 TRADE ST, SUITE175, LEXINGTON, KY 40511-2634
(859) 368-8206
(859) 554-6150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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