| NPI | 1295914471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEVIN HARGAN Doctor / Owner 270-737-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: KY 35220) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-12-13 |