| NPI | 1346699857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. BONNESS Dentist/Owner 812-232-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010488A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010300A) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |