| NPI | 1508986951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EVAN STRULL Oral Surgeon 502-896-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-03-04 |