| NPI | 1780187583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILEE YOUNG SEXTON Dentist/Owner 606-465-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 963) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9326) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |