| NPI | 1134418353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL FALACE Dentist/Practice Owner 859-268-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 8606) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |