| NPI | 1154443182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BRADLEY BAKER Orthodontist 270-684-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY KY6187) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |