| NPI | 1669562013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G FAIN President 859-269-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7106) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2013-07-23 |