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Individual

SAMELA THAIS DE PAULA LIMA PEREIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-2913
(859) 323-3368
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-3368

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10373
KY
1223P0700X
Prosthodontics
Primary
10373
KY

Other

Enumeration date
07/28/2016
Last updated
11/05/2019
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