| NPI | 1336333970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J SNYDER President 574-293-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 54000955A) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |