| NPI | 1841315207 |
|---|---|
| Doing Business As | BRECKENRIDGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL E KING Member 502-451-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-04-22 |