| NPI | 1699296335 |
|---|---|
| Doing Business As | FOUNDATIONS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RENDER HOWARD PARKMAN Owner 502-895-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-11-02 |