| NPI | 1437365087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A MARRILLIA President 502-935-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7549) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-04-14 |