| NPI | 1366733644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRILLE RASHEDA NELSON Owner 859-253-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8731) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |