NPI | 1255465134 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E. LOY President 859-264-9493 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5484) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |