| NPI | 1205641834 |
|---|---|
| Doing Business As | WEST 10TH DENTAL GROUP GP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PARDUE Director Of Revenue Cycle 502-548-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |