| NPI | 1760768865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI PRATHER Owner/ Dentist 606-679-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 8103) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |