| NPI | 1770858276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI YANG President 502-426-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 07451) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2018-06-27 |