NPI | 1104896604 |
---|---|
Doing Business As | DENTALWORKS |
Entity Type | Organization |
Authorized Contact | RONALD J RYAN Dentist/Owner 502-459-4120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 6272) |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist Endodontics | |
1223P0221X Dentist Pediatric Dentistry | |
1223P0300X Dentist Periodontics | |
1223P0700X Dentist Prosthodontics | |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2016-12-09 |