| NPI | 1235329400 |
|---|---|
| Other Name | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC |
| Doing Business As | KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | PENNY BOONE Office Manager 502-361-0134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-09-11 |