| NPI | 1447421631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY J ROBBINS Office Administrator 574-233-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 7726) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-18 |