| NPI | 1437385465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL T JUDD Owner 574-533-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007483) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |