| NPI | 1245320241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SUE MARSHALL Office Manager 606-784-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5986) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |