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Individual

MICHAEL L SKANCHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(801) 824-1430
Mailing address
472 WELLINGTON GARDENS DR, LEXINGTON, KY 40503-3467
(801) 824-1430

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10959
KY

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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