| 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 |