| NPI | 1861778706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J MCMAHON Owner 859-823-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4988) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |