| NPI | 1447329735 |
|---|---|
| Other Name | KNIGHTSTOWN GENTLE DENTIST |
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SHEEHAN Owner 765-345-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009495) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |