| NPI | 1609140862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA H PARK Owner/Treasurer And Secretary 859-223-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 8193) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |