| NPI | 1366022063 |
|---|---|
| Doing Business As | TOOTHOLOGIE |
| Entity Type | Organization |
| Authorized Contact | JASON ANTHONY FORD Member 859-384-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |