| NPI | 1043570807 |
|---|---|
| Doing Business As | SMILES ON HURSTBOURNE |
| Entity Type | Organization |
| Authorized Contact | DONALD T FREY President 502-423-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9170) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2016-04-12 |