| NPI | 1649699513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J WESTERMANN Owner 502-426-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2025-03-19 |