NPI | 1114016201 |
---|---|
Doing Business As | WOODSCREST DENTAL |
Entity Type | Organization |
Authorized Contact | LISA MARIE MEADOWS Business Manager 812-332-0866 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010415) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2008-07-17 |