Organization
GEORGETOWN SEDATION DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM MUWAFAQ DMD (DENTIST)
(859) 317-3864
Entity
Organization
Contact information
Practice address
150 MOUNT VERNON DRIVE, SUITE 200, GEORGETOWN, KY 40324
(859) 317-3864
Mailing address
341 SPRING VALLEY LN, LEXINGTON, KY 40511-8638
(859) 317-3864
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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