| NPI | 1386755296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR H HOOVER Manager 502-223-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 6020KY) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |