| NPI | 1467612481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUGH MILLER Owner/Dentist 765-282-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007367A) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-10-24 |