| NPI | 1336404995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NIEMIEC President 765-265-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60358) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |