NPI | 1558640821 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT AKRIDGE Orthodontist 502-244-0204 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2011-08-04 |
Last Update Date | 2011-08-04 |