| NPI | 1467661041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY A YOUNG President 260-493-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12007190) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-30 |