| NPI | 1356500789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BECK Owner/Operator 765-455-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12009947) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |