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Individual

DR. SUNDES ELFAGIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS, MHA, MS, ABGD

Contact information

Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11155
KY
122300000X
Dentist
FAC-40207
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30541
IA

Other

Enumeration date
08/07/2018
Last updated
10/11/2024
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