| NPI | 1558305326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L NELSON President 260-463-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006413A) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-06-04 |