| NPI | 1124031539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TERRY FREY President 812-944-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006939) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |