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 |