NPI | 1235208539 |
---|---|
Other Name | GREENSBURG GENTLE DENTIST |
Entity Type | Organization |
Authorized Contact | TIM HOAGLENS CEO 502-423-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-11-08 |
Last Update Date | 2010-12-01 |