| NPI | 1649313495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS WILLIAMS Owner 765-935-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010471A) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |