| NPI | 1902432537 |
|---|---|
| Doing Business As | LAVELLE FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL T LAVELLE Sole Member 502-228-0404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |