| NPI | 1114027349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T. MICHAEL ROBINSON Owner 765-643-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 7060) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |