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Individual

DR. MAXIE J. COMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
527 WELLINGTON WAY, SUITE 120, LEXINGTON, KY 40503
(859) 223-4644
(859) 224-8466
Mailing address
527 WELLINGTON WAY, SUITE 120, LEXINGTON, KY 40503
(859) 223-4644
(859) 224-8466

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8009
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000806082
UNITED CONCORDIA-TRICARE
Enumeration date
09/21/2011
Last updated
05/10/2018
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