| NPI | 1487816930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A YOUNG JR Dentist 502-499-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6037) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |