| NPI | 1639241854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. CAUDILL President And Owner 606-679-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 4733) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |