| 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 |