| NPI | 1770729766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. VAUGHN BOGGESS President 859-224-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 5892) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |