| NPI | 1184084824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. CASSITY Registered Agent/ Organizer 270-527-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5576) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |