| NPI | 1346523263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S. STRATMAN Owner 765-642-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010195) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |