| NPI | 1184151912 |
|---|---|
| Doing Business As | SAINT MATTHEWS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATTI JACKSON Office Mgr 502-895-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 9495) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |