| NPI | 1538970934 |
|---|---|
| Doing Business As | GEORGETOWN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PARDUE Director Of Revenue Cycle 502-548-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-02-10 |