| NPI | 1538105408 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF WABASH |
| Entity Type | Organization |
| Authorized Contact | ROBERT B. BECKETT President (Dentist) 260-563-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007939A) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |