| NPI | 1518220946 |
|---|---|
| Doing Business As | UNIVERSITY MEADOWS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARRI KRUEGER Vice President 765-807-0580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010165) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |