| NPI | 1194965541 | 
|---|---|
| Doing Business As | BLUEGRASS ORAL HEALTH OF MORGANTOWN | 
| Entity Type | Organization | 
| Authorized Contact | ANDREW MADISON BURT Owner/ Doctor 270-781-6161 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7273) | 
| Enumeration Date | 2009-02-25 | 
| Last Update Date | 2009-02-25 |