| NPI | 1477768026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R REEDY President 765-282-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009981) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |