Organization
WELLINGTON FAMILY DENTISTRY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNNA RAMSDALE JOHANNEMAN D.M.D (DENTIST)
(859) 309-9765
Entity
Organization
Contact information
Practice address
535 WELLINGTON WAY STE 130, LEXINGTON, KY 40503-1385
(859) 552-4810
Mailing address
535 WELLINGTON WAY STE 130, LEXINGTON, KY 40503-1387
(859) 309-9765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8489
KY
Other
Enumeration date
06/19/2008
Last updated
01/06/2010
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