| NPI | 1487205233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RANDALL GREGG Orthodontist/Owner 812-887-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |