| NPI | 1265643316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R STEWART President 574-875-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001077A) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-09-18 |