| NPI | 1104922129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN MEYER President 812-275-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007013) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |