| NPI | 1366728784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROWN Owner 606-864-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 6688) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |