NPI | 1508903758 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES TAYLOR HAZARD President,Owner 502-366-4121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5781) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2015-11-05 |