| NPI | 1609000272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CORNETTE HENDERSON Office Manager 859-971-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 7379) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-06-02 |