| NPI | 1043682388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE L FOWLER President 859-269-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5212) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |