| NPI | 1053192393 |
|---|---|
| Doing Business As | BLUEGRASS DENTURE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL BRUMMETT Owner 606-677-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |