| NPI | 1548574940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DEAN SHEPHARD Dentist 812-464-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011488A) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |