| NPI | 1902812266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH BEITING President 859-341-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 4150) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KY 8366) |
| 124Q00000X Dental Hygienist (Licence: KY 440) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |