NPI | 1689896771 |
---|---|
Doing Business As | BLUEGRASS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL WOODS President 270-443-7405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 5082) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-03-09 |