| NPI | 1881737997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. SEGEBARTH Owner 270-825-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 4359) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-03-26 |