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 |