Individual
AL-HARITH M SHALASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2358 NICHOLASVILLE RD STE 156, LEXINGTON, KY 40503-3041
(859) 381-0680
Mailing address
2358 NICHOLASVILLE RD STE 156, LEXINGTON, KY 40503-3041
(859) 381-0680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9955
KY
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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