NPI | 1174783930 |
---|---|
Entity Type | Organization |
Authorized Contact | NEAL E. LAMBERT President 765-282-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000428A) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |