NPI | 1114385473 |
---|---|
Doing Business As | SHIPLEY DENTAL INNOVATIONS |
Entity Type | Organization |
Authorized Contact | SCOTT EDWARD SHIPLEY Owner/Dentist 574-377-6426 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009310) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |