| NPI | 1457364374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES FOOTE Owner 502-896-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 3958) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |