| NPI | 1538740683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MEEK CONNELL Dentist/Sole Member Of Corporation 859-824-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |