| NPI | 1083067482 |
|---|---|
| Doing Business As | SKY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHANNON PATTEE Billing Manager 270-715-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9156) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2019-06-26 |