Individual
MOHAMED BAZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-8873
Mailing address
800 ROSE STREET, DENTAL SCIENCE BLDG D408, LEXINGTON, KY 40517
(859) 323-4139
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10067
KY
Other
Enumeration date
05/22/2014
Last updated
10/04/2019
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