Individual
GERMAN BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2301 TERRA CROSSING BLVD STE 203, LOUISVILLE, KY 40245-3954
(502) 434-4004
(502) 434-5899
Mailing address
2301 TERRA CROSSING BLVD STE 203, LOUISVILLE, KY 40245-3954
(502) 434-4004
(502) 434-5899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10128
KY
Other
Enumeration date
05/24/2018
Last updated
01/07/2025
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