| NPI | 1447578265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN BUCHANAN Owner 270-781-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 3668) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 7154) |
| 1223E0200X Dentist Endodontics (Licence: KY 3668) | |
| 1223E0200X Dentist Endodontics (Licence: KY 7154) | |
| 1223G0001X Dentist General Practice (Licence: KY 3668) | |
| 1223G0001X Dentist General Practice (Licence: KY 7154) | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-06-15 |