| NPI | 1447638168 |
|---|---|
| Doing Business As | CHANDLER PARK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ELI O JACKSON Owner 270-781-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 5450) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2016-09-14 |