| NPI | 1225540552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH AUSTIN BELL Owner 502-491-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 6632) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KY 9564) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |