| NPI | 1942579172 |
|---|---|
| Doing Business As | BLUEGRASS ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW MADISON BURT Owner / Dr. 270-781-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7273) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |