| NPI | 1912217035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLANTA SAUER Owner/Provider 502-618-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 8260) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |