| NPI | 1588721344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH BROWN Accounts Manager 859-987-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6485) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-06-27 |