| NPI | 1033697206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN K WILLIAMS Owner 812-735-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007719b) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-08-01 |