| NPI | 1275906901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M HAMAN-SMITH Owner/President 502-292-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011253A) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |