NPI | 1114265717 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN HECKMAN President 859-885-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8899) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |