| NPI | 1972124717 |
|---|---|
| Doing Business As | SPRING STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ELIZABETH FAETH Office Manager 502-718-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |