| NPI | 1689043085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LELAND COOK Owner 812-853-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12010543) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |