| NPI | 1396448353 |
|---|---|
| Doing Business As | FERN CREEK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNA R SCHULTEN Owner 502-897-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |