| NPI | 1174928709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F BUTLER Owner 812-265-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12008372) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |