| NPI | 1659551711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DOUGLAS WILKINSON President 502-893-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4289) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-09-24 |