| NPI | 1831252162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY W DURALL President 270-683-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 4863) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-08-13 |