| NPI | 1821324112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD LLOYD MAYNARD Partner 606-256-0288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6733) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2013-10-15 |