NPI | 1467588467 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CHARLES SMITH President 859-278-9391 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4469 & 4641) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |