| 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 |