| NPI | 1124496005 |
|---|---|
| Doing Business As | IMMEDIADENT |
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANK Pc President 812-284-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010746A) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |