| 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 |