| NPI | 1760759831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P. CREWS Dmd/Owner 270-683-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 7748) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |