Organization
BEAUMONT DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA H PARK DDS, MS (OWNER/TREASURER AND SECRETARY)
(859) 223-0011
Entity
Organization
Contact information
Practice address
3181 BEAUMONT CENTRE CIR, SUITE 114, LEXINGTON, KY 40513-1836
(859) 223-0011
Mailing address
3181 BEAUMONT CENTRE CIR, SUITE 114, LEXINGTON, KY 40513-1836
(859) 223-0011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8193
KY
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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