| NPI | 1396858957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGUE LEE DELLINGER Owner 260-497-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12006000A) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |