| NPI | 1619248994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE E MARTIN General Dentist 606-528-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7180) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |