| NPI | 1437822772 |
|---|---|
| Doing Business As | STAR KIDS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MEGAN GRACE JACKSON Owner/President 859-559-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |