| NPI | 1699165878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDISON CHARLES YOUNG Owner/Dentist 859-623-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9503) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |