| NPI | 1760777288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WERNER BARNETT Manager 502-714-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |