| NPI | 1184953325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W KIZIOR President 812-634-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12010318A) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |