NPI | 1568539062 |
---|---|
Doing Business As | DENTAL DEVELOPMENT CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT R ROSS Owner President 859-371-4422 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6085) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 4661) |
1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8183) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |