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Individual

CHANDLER ALLEN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 JETT BLVD STE 100, FRANKFORT, KY 40601-7778
(502) 871-3525
Mailing address
368 BASSETT AVE, LEXINGTON, KY 40502-1542
(870) 227-1459

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11047
KY

Other

Enumeration date
10/03/2023
Last updated
12/01/2023
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