Beaumont Family Dentistry at Leestown

NPI #1124364252 in Lexington, Kentucky

Provider Information

NPI Number: 1124364252
Entity Type: Organization
Organization Name: Beaumont Family Dentistry at Leestown
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2012
Last Updated: Dec 18, 2012

Practice Location

Address: 100 TRADE ST
Address 2: SUITE175
City: Lexington
State: Kentucky
ZIP Code: 40511-2634
Phone: (859) 368-8206

Authorized Official

Name: PATRICIA E TAKACS, DMD
Title: DENTIST/OWNER
Phone: (859) 223-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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