| NPI | 1396974036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY V BINGHAM Owner 606-877-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 6278) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 8211) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2015-04-09 |