NPI | 1578940409 |
---|---|
Other Name | AETHETICS AND FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | VICKI RUTLEDGE Practice Manager/Dental Hygienist 765-659-3351 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007174A) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |