| NPI | 1154592681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LOUIS HERMAN Owner/Manager 812-882-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 12010409A) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |