| NPI | 1285902940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE DUVAL-AUSTIN Dentist 859-344-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8183) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |