| NPI | 1871298893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREG WHITE Credentialing Specialist 859-785-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |