| NPI | 1043203235 |
|---|---|
| Doing Business As | TRISTATE FAMILY DNETAL CENTERS |
| Entity Type | Organization |
| Authorized Contact | MARTHA FISHER Office Administrator 812-425-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000097A) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |