| NPI | 1255752663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYN E DANT Dental Assistant/Office Assistant 812-867-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011322-A) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |