| NPI | 1386009785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E SNYDER Owner 765-447-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009083) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-11-15 |