| NPI | 1508411927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANG-CHING CHOU Owner 502-836-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |