| NPI | 1134468788 |
|---|---|
| Doing Business As | MAYFIELD ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT MILLINER Owner, Orthodontist 270-247-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 9123) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |