| NPI | 1447432455 |
|---|---|
| Doing Business As | MADISON DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JASON O GAMBREL President 859-626-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 7992) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |