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 |