| NPI | 1073638052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR E COLON President 812-853-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001014A) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |