| NPI | 1366512295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN MCCAULEY President 502-451-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6616) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |