| NPI | 1265718068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ROGERS BECK Dentist 859-261-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 7746) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |