| NPI | 1194816553 |
|---|---|
| Other Name | GREAT GRINS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN AMANTHA VANSTONE Doctor 859-626-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6913) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |