| NPI | 1821214099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NUNN President 270-885-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 4414) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |