| NPI | 1316316961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH AUSTIN-WHELAN Account Manager 502-345-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8532) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |