| NPI | 1942931696 |
|---|---|
| Doing Business As | TIPTON LAKES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHUAIB MIRANI Member 502-475-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |