| NPI | 1285852269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE SNYDER President 765-654-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009266) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |