NPI | 1306235619 |
---|---|
Doing Business As | GENTLE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | RANDON SCOTT PRATHER President 270-527-1479 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9492) |
Enumeration Date | 2015-01-11 |
Last Update Date | 2015-01-11 |