NPI | 1740020437 |
---|---|
Former Legal Business Name | STONEY SPRING FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | NICHOLAS ERIC ENGLISH Owner/Dentist 502-794-6853 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |