| NPI | 1841400462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J LAWLESS Orthodontist 270-781-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KY 4133) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-03-16 |