NPI | 1568681203 |
---|---|
Doing Business As | FIRST CARE DENTAL |
Entity Type | Organization |
Authorized Contact | WILLIAM B DRYDEN Doctor Dentist 502-893-5677 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KY 4774) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 3807) |
122300000X Dentist (Licence: KY 6914) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |