| NPI | 1417090457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HALE COUZENS Dentist 859-236-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7025) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |