| NPI | 1851790109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE ARMSTRONG Director Of Credentialing 502-254-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |