Individual
DR. CRISTINA V PEREZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
740 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-6261
(859) 257-5859
Mailing address
740 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-6261
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8678
KY
1223P0221X
Pediatric Dentistry
Primary
8678
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100173080
—
KY
Enumeration date
04/22/2011
Last updated
03/22/2013
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