Individual
ATTEYAT HADIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 LAKESTONE WAY, 11804 LAKESTONE WAY, PROSPECT, KY 40059-9000
(502) 228-2147
Mailing address
11804 LAKESTONE WAY, 11804 LAKESTONE WAY, PROSPECT, KY 40059-9000
(502) 228-2147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6578
KY
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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