| NPI | 1528331642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANDREW ANDERSON Oral And Maxillofacial Surgeon 606-878-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: KY 6656) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |