| NPI | 1336300532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PAUL DOWNIE President 260-749-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007714) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |