NPI | 1578801072 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK L. KEESEE Owner 502-348-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KY 7247) |
Additional Taxonomies | 122300000X Dentist (Licence: KY 7470) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2013-01-22 |