| NPI | 1437274883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. MEREDITH JOHNSON Doctor 812-288-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 6785) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |