| NPI | 1245374172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A KORETSKI Office Manager 859-543-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 4500027000) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |