| NPI | 1508287046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRE A MISHLER Dentist 812-232-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12009589B) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |