| NPI | 1922115625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J BARKER President 859-278-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: KY 6088) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: KY 6088) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |