NPI | 1033620117 |
---|---|
Entity Type | Organization |
Authorized Contact | HOHETE YOHANNES HENDRIX President/Member 812-945-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011079A) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-11-26 |