| NPI | 1326263948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. THOMPSON Orthodontist 260-485-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IN 12008871) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-09-26 |