| NPI | 1568042604 |
|---|---|
| Doing Business As | CENTRAL KY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WALTER PEAVLER Owner 502-682-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |