| NPI | 1639759392 |
|---|---|
| Doing Business As | DIXIE DENTAL AND DENTURES LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL H JESSIE Owner 502-905-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |