NPI | 1922744630 |
---|---|
Doing Business As | FAMILY CARE DENTISTRY |
Entity Type | Organization |
Authorized Contact | DENISE ATTAWAY YATES CEO 502-599-3130 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-05-06 |
Last Update Date | 2022-05-06 |