| NPI | 1609286186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COLEMAN Owner/Dentist 765-914-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011288A) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |