| NPI | 1639447634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRATT Orthodontist 859-355-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 8462) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |