| NPI | 1629134515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KAISER Office Manager 812-372-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 54000102A) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-04-10 |