| NPI | 1003902784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATH W. JONES Owner / Dentist 765-447-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009872A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-02-22 |