| NPI | 1144611021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CEPHUS BROOKS Owner 502-585-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6247) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-10-01 |