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 |