| NPI | 1013041391 |
|---|---|
| Other Name | MAXILLOFACIAL ONCOLOGIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ZAFRULLA KHAN Prosthodontics 502-852-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-09-21 |