| NPI | 1114949377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESIA DENISE BROWN President 812-874-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010219a) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-06-03 |