| NPI | 1275046542 |
|---|---|
| Doing Business As | FAMILY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DWIGHT PATRICK PETERS CEO 502-295-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 7615) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-06-11 |