| NPI | 1205335346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKARI MILLER TAYLOR Owner/Dentist 270-753-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 9592) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-04-18 |