Khader Samir Habash
Dentist in Lexington, KY. Individual provider (NPI-1).
NPI number1982109708
StatusActive
Last updated in NPPESMay 30, 2018
Details
- NPI
- 1982109708
- Entity type
- Individual (NPI-1)
- Name
- Khader Samir Habash
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2018
- Last updated
- May 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10099 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | KY |
Practice location
740 S Limestone Room A262Lexington, KY 40536
Phone 859-323-6723 · Fax 859-323-2036
Mailing address
740 S Limestone Room A262Lexington, KY 40536-0001
Phone 859-323-6723 · Fax 859-323-2036
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