| NPI | 1528506102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE DENTON Dentist/Owner 260-463-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 7103) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |