NPI | 1134424930 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL A SMUDDE Dentist 812-466-9826 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007519) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |