NPI | 1669582607 |
---|---|
Doing Business As | DBA SCHAEFER AESTHETIC GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | DAVID A SCHAEFER Owner President 502-423-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 3194) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 6588) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |