| NPI | 1578785713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CRAIG ALLEN President 270-885-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 4198) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |