Individual
DR. ALI REZA MIREMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 281-4912
(859) 381-5911
Mailing address
173 ELLERSLIE PARK BLVD, LEXINGTON, KY 40515-5715
(859) 421-5117
(859) 381-5911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7596
KY
Other
Enumeration date
08/08/2006
Last updated
06/26/2012
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