| NPI | 1114128410 |
|---|---|
| Other Name | THOROUGHBRED SMILES |
| Entity Type | Organization |
| Authorized Contact | MARY SUZANNE AHNQUIST Doctor Owner 502-863-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |