| NPI | 1336212471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A MORYL President 574-269-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |