| NPI | 1124158894 |
|---|---|
| Doing Business As | LONDON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY MAYES Owner Dentist General 606-878-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-08-06 |