NPI | 1922521285 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL HERNANDEZ Dentist/Owner 502-451-3931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 8817) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2022-07-21 |