| NPI | 1548274723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA E WILHITE Managing Member 502-223-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8213) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |