| NPI | 1770789224 |
|---|---|
| Doing Business As | BLUEGRASS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENT M NELSON President 270-442-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7500) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |