| NPI | 1942637731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE ARMSTRONG Director Of Credentialing 502-254-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-14 |