| NPI | 1184733842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L STILLER President Owner 812-948-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008519A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |