NPI | 1356663025 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED H SIMMONS Owner 812-232-1138 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12006984) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |