Organization
VETERANS PARK FAMILY DENTISTRY PLLC
Active
Other names
nicole f. jenkins dmd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE FALLAHZADEH JENKINS DMD (DENTIST)
(859) 272-0800
Entity
Organization
Contact information
Practice address
4384 CLEARWATER WAY, STE 110, LEXINGTON, KY 40515-6337
(859) 272-0800
Mailing address
4804 BRENNEN DR, LEXINGTON, KY 40515-6281
(859) 913-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7878
KY
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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