| NPI | 1578930467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTHOLOMEW LUKE HOTT President 260-824-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011131A) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |