NPI | 1891076683 |
---|---|
Doing Business As | PETREY AND NEWCOMB ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOSEPH STANLEY PETREY Member /Manager 606-451-0771 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 8298) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2012-02-23 |