Individual
REBECCA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 ROSE STREET, LEXINGTON, KY 40506-0001
(859) 257-9000
Mailing address
4005 SAN MARCOS RD, LOUISVILLE, KY 40299-1401
(502) 403-8543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10788
KY
Other
Enumeration date
05/17/2022
Last updated
06/10/2022
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