KDG INDIANA TWO LLC

SEYMOUR, IN
NPI1285145433
Entity TypeOrganization
Authorized ContactADRIENNE NICHOLSON
Financial Coordinator
812-523-1860
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2017-10-16
Last Update Date2017-10-16