| NPI | 1396801395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION SUSANNE KOLLAHSADEH Dentist Owner 859-988-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7770KY) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |