| NPI | 1235547498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. HORNADAY Owner/Oral & Maxillofacial Surgeon 765-289-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |