| NPI | 1609911700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE C. HORN Owner,President 859-268-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KY 6605) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |