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ALIAH FUELLER NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3141 BEAUMONT CENTRE CIR STE 200, LEXINGTON, KY 40513-1956
(859) 296-4846
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
123456
KY

Other

Enumeration date
11/09/2022
Last updated
05/19/2023
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