| NPI | 1548336985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRUCE COMBEST Doctor President 859-986-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4573) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KY 615) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-06-13 |