| NPI | 1568565810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH CHADWELL Dentist 606-256-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7004) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2008-06-18 |