| NPI | 1942586060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL R SMITH Dentist 606-549-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 5249) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8272) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |