| NPI | 1235651803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON D.F. STANLEY Doctor/Owner 606-422-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KY 9537) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |