| NPI | 1346570249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY K TAYLOR Co Owner 270-753-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7119) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |