Individual
DR. CHRISTIAN SHANNON FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 257-9272
(859) 257-9274
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 257-9272
(859) 257-9274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7133
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007616
—
KY
05
—
60071339
—
KY
Enumeration date
09/20/2006
Last updated
03/10/2010
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