| NPI | 1518082643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DYER Practice Administrator 812-332-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12008895A) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |