| NPI | 1215340880 |
|---|---|
| Doing Business As | LEBANON DENTURES AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A ERIKS Owner 765-659-4977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010984A) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-13 |