| NPI | 1568465086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK LAWLOR President 812-385-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000883A) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IN 54000883A) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2015-02-09 |