| NPI | 1962147009 |
|---|---|
| Doing Business As | BLUEGRASS ORAL HEALTH- MUNFORDVILLE |
| Entity Type | Organization |
| Authorized Contact | MARTHA R SMITH Practice Adm 270-746-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-10-28 |