NPI | 1891067161 |
---|---|
Entity Type | Organization |
Authorized Contact | DICKSON PETER UFOMATA Doctor/Owner 859-232-8883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 7921) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |