Individual
ANDREW BENJAMIN PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7901 MALL RD, FLORENCE, KY 41042-1496
(551) 212-0062
Mailing address
102 E MADISON ST, LA GRANGE, KY 40031-1424
(561) 632-5553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10798
KY
Other
Enumeration date
06/15/2022
Last updated
10/03/2022
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