| NPI | 1578871877 |
|---|---|
| Doing Business As | NORTHWEST KENTUCKY DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | PAM HARDIEK Insurance/Credentialing 270-827-4534 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |