| NPI | 1770313454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR PAIGE OSBORNE-ASHER Office Manager 606-657-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |