NPI | 1205300290 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS C JONES Oral Surgeon/Owner 502-897-0424 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2019-01-14 |
Last Update Date | 2023-12-05 |