NPI | 1013299429 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY G APPLEGATE Owner 765-747-9611 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009616) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2011-09-12 |