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 |