| NPI | 1467598912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT C. MCDONALD President 606-546-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7384) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |