| NPI | 1669643847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVEN L DOVE President 260-724-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: IN 28143888a) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |