| NPI | 1710261383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R BATES Owner/Dentist 859-745-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5077) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2016-10-10 |