| NPI | 1093455776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROD DEMPSEY Owner 859-802-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |