| NPI | 1467549600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RAY PULFER President 260-482-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006979) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-07-08 |