NPI | 1053806349 |
---|---|
Other Name | KIDS DENTISTREE OF KY, LLC |
Entity Type | Organization |
Authorized Contact | STEPHEN JAMES CFO 502-254-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2018-06-28 |
Last Update Date | 2018-06-28 |