| NPI | 1902595812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE STRUCKHOFF Co Owner 859-356-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |