Organization
TMJ AND SLEEP DENTISTRY CENTER OF CENTRAL KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GOLIBERSUCH DDS (ONWER)
(859) 223-2120
Entity
Organization
Contact information
Practice address
2408 SIR BARTON WAY STE 275, LEXINGTON, KY 40509-3000
(859) 223-2120
Mailing address
2408 SIR BARTON WAY STE 275, LEXINGTON, KY 40509-3000
(859) 223-2120
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
5595
KY
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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