| NPI | 1043616188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J DIAMOND Authorized Official 859-278-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8832) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |