NPI | 1508962846 |
---|---|
Entity Type | Organization |
Authorized Contact | TOD J CURTIS Owner 812-279-9473 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12009954) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-08-22 |