JACKIE L BANAHAN

LEXINGTON, KY
NPI1093866154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: KY  4977)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Dr. JACKIE L BANAHAN D.M.D.
3141 BEAUMONT CENTRE CIR SUITE 100
LEXINGTON, KY 40513-1934
Phone number: 859-223-4888
Mailing Address
Dr. JACKIE L BANAHAN D.M.D.
3141 BEAUMONT CENTRE CIR SUITE 100
LEXINGTON, KY 40513-1934
Phone number: 859-223-4888
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