| NPI | 1528338050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY HUTTER Admin 502-423-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007677a) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |