| 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 |