| NPI | 1467771600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH BROWN Office Manager 859-987-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |