NPI | 1194127811 |
---|---|
Doing Business As | CROSSROADS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NICOLE RICHEY Owner/Office Manager 812-232-7424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012114A) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2022-08-11 |