| 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 |