| NPI | 1073099792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAVIDSON GABBARD Pediatric Dentist 859-421-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KY 9333) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-02-12 |