NPI | 1154497535 |
---|---|
Other Name | BUSINESS TITLE |
Entity Type | Organization |
Authorized Contact | DANIEL BRUCE MANLEY Dmd Psc 859-498-2356 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KY 5357) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2008-06-17 |