NPI | 1548703671 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE GONZALVO ABLOG President/Dentist 812-422-1135 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009717) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |