| NPI | 1144575671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BENJAMIN FARMER Pediatric Dentist 606-436-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |