NPI | 1346278710 |
---|---|
Former Legal Business Name | JAMES HUMPHREY DDS |
Entity Type | Organization |
Authorized Contact | JAMES M HUMPHREY President 812-232-0064 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IN 12009022A) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2020-08-22 |