| NPI | 1285129882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA MORGAN COMBS Owner/Dentist 502-709-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 8200) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |