| NPI | 1922406958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA ZAKHARIA DIAMOND President 859-278-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 8796) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 8832) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |