| NPI | 1144696600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD TERRELL SMITH President 812-288-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011200A) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |