| NPI | 1861779712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DUNCAN Owner 270-247-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 7655) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |