Organization
LEESTOWN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DICKSON PETER UFOMATA DDS (DOCTOR/OWNER)
(859) 232-8883
Entity
Organization
Contact information
Practice address
1600 LEESTOWN RD, STE.138, LEXINGTON, KY 40511-2136
(859) 232-8883
(859) 258-2084
Mailing address
1600 LEESTOWN RD, STE.138, LEXINGTON, KY 40511-2136
(859) 232-8883
(859) 258-2084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7921
KY
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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