NPI | 1013119213 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH LEE HILL Owner 859-266-9464 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KY 4741) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-08-03 |