| NPI | 1396117131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARL GRAF President 502-640-6932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8610) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |