| NPI | 1447331509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A COTTERILL Owner 502-867-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 7468) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 754) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-05-14 |