NPI | 1073883955 |
---|---|
Doing Business As | KENTUCKY DENTISTRY FOR KIDS |
Entity Type | Organization |
Authorized Contact | WENDY HUMPHREY VAN METER Dentist/Owner 859-277-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KY 7980) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2017-01-11 |