| NPI | 1245417310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA NEFF Collections Secretary 606-564-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 5331) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |