| NPI | 1437426871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SUTPHIN Office Manager 502-227-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 522) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |