Individual
DR. THAMER M MUSBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-9707
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-9707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9528
KY
1223X2210X
Orofacial Pain Dentistry
Primary
9528
KY
125Q00000X
Oral Medicine Dentistry
9528
KY
Other
Enumeration date
06/14/2011
Last updated
10/21/2019
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