| NPI | 1922158641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D. DARLAND Financial COO Rdinator 859-236-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 6456) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-06-26 |