| NPI | 1639428451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON MICHAEL COMPTON Member, Owner 812-944-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010144A) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |