| NPI | 1841457363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DUPLESSIS Dr. 270-765-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 5895) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KY 5895) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |