| NPI | 1093357931 |
|---|---|
| Doing Business As | LAKE BELTON FAMILY DENTAL AND DENTURES |
| Entity Type | Organization |
| Authorized Contact | RYAN T STEPHENS Dentist 502-435-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2020-04-16 |