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1487427019
BEAUMONT KIDS DRE LLC
LEXINGTON, KY
NPI
1487427019
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Entity Type
Organization
Authorized Contact
ELIZABETH DAVIS
Director Of Revenue
859-533-1109
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
BEAUMONT KIDS DRE LLC
3141 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513-1934
Phone number: 859-223-4888
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Mailing Address
BEAUMONT KIDS DRE LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number: 859-533-1109
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