| NPI | 1396283636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDYA RAMESH BETTAGERE Orthodontist 260-668-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |