NPI | 1457462590 |
---|---|
Other Name | THOMAS T TEEL THOMAS M GILBERT & CATHERINE N PERIOLAT |
Entity Type | Organization |
Authorized Contact | THOMAS T TEEL Owner President 260-432-0561 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12009882) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 9047) |
1223G0001X Dentist General Practice (Licence: IN 9757) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |