| NPI | 1609925346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARK HUNTSMAN President 270-237-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 4123) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |