| NPI | 1326202755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND CRAWFORD WILHOITE President 765-289-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009897) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |