| NPI | 1922580653 |
|---|---|
| Doing Business As | ADVANCED DENTAL CENTER |
| Doing Business As | ADVANCED DENTAL CENTER EAST |
| Entity Type | Organization |
| Authorized Contact | RACHEL TALIS President 502-966-4367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7118) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-06-11 |