Individual
DR. MAI AHMED AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MDSC
Contact information
Practice address
800 ROSE ST, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5996
(859) 323-0066
Mailing address
800 ROSE ST, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY, LEXINGTON, KY 40536-0297
(859) 323-5996
(859) 323-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8712
KY
1223P0700X
Prosthodontics
Primary
8712
KY
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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