NPI | 1811398837 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA JEAN ASSEFF Owner/Dentist 502-493-4154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 6806) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2014-09-09 |