| NPI | 1457817496 |
|---|---|
| Doing Business As | LORD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE NICHOLSON Regional Manager 812-569-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |