| NPI | 1174860951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L NICHOLSON President 812-481-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 7641) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |