NPI | 1225352149 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH JOHN HELM Dentist 812-867-2414 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006300A) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011356A) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2010-03-22 |