| NPI | 1679588081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MCCRAW President 270-825-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 6441) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |