| NPI | 1689962649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE BARNETT Ins COO Rdinator 859-264-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |