| NPI | 1366150013 |
|---|---|
| Doing Business As | HURSTBOURNE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD TERRELL SMITH Manager 502-599-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2022-11-11 |