| NPI | 1912133620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R. MCLAURIN Oral Surgeon 859-498-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-23 |