Individual
LINA SHARAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
800 ROSE STREET, ROOM D104, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-9707
(859) 257-5859
Mailing address
708 SUNNY SLOPE TRCE, LEXINGTON, KY 40514-1780
(646) 552-4667
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9129
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100375250
—
KY
Enumeration date
12/23/2013
Last updated
03/18/2016
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