Individual
IVAN HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4384 CLEARWATER WAY STE 150, LEXINGTON, KY 40515-6479
(859) 317-6810
(859) 554-0278
Mailing address
4030 TATES CREEK RD APT 1123, LEXINGTON, KY 40517-3077
(513) 638-1392
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10483
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
06/02/2022
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