| NPI | 1033135660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAROD Interim President 812-485-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 65000006A) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-06-27 |