NPI | 1598148587 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL WILLIAMS Owner 812-945-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010335A) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-07-08 |