| NPI | 1730259292 |
|---|---|
| Other Name | DANVILLE ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHERRY L PEAVLER Office Manager 859-236-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-02-23 |