| NPI | 1417207606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. FRITZ President/C.E.O. 502-376-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6785) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 6785) |
| 183500000X Pharmacist (Licence: KY 009474) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |