Individual
LILIAN CUSTODIO PATSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
740 S LIMESTONE KENTUCKY CLINIC E214, LEXINGTON, KY 40536-0284
(859) 323-5500
(859) 323-0001
Mailing address
740 S LIMESTONE KENTUCKY CLINIC E214, LEXINGTON, KY 40536-0284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11237
KY
1223X2210X
Orofacial Pain Dentistry
11237
KY
Other
Enumeration date
09/17/2024
Last updated
12/02/2024
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