| NPI | 1710709944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE RECHTIN Owner 859-446-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |