| NPI | 1760878300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE ARMSTRONG CFO 502-254-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |