| NPI | 1629354428 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF WABASH |
| Entity Type | Organization |
| Authorized Contact | JOHN D CONNER Managing Member/President 260-563-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011312) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |