| NPI | 1235224288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR NEWTON ANDERSON Partner 270-886-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 6047) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 6441) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |