NPI | 1477952968 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LYNN DENZINGER-ROWE Dentist 812-941-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009852) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12009852) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2014-08-20 |