| NPI | 1164642328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA M ARNETT Owner 606-784-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 5482) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 6363) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2012-02-02 |