| NPI | 1154721173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC S BROWNING President 765-289-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011548) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |