| NPI | 1205084159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM L FROUNFELTER Owner 812-423-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2022-01-03 |