Individual
DR. PAUL GEORGE KOSHGERIAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4935 HIDDEN RIVER DR, LEXINGTON, KY 40511-9566
(859) 913-2913
Mailing address
4935 HIDDEN RIVER DR, LEXINGTON, KY 40511-9566
(859) 913-2913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8759
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2009
Last updated
12/05/2014
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