| NPI | 1255083853 |
|---|---|
| Doing Business As | BLUEGRASS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAWN MATTHEW STRINGER Owner 270-926-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |