| NPI | 1700249943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH STRATTON Owner Dentist 270-841-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011749A) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |