NPI | 1689049561 |
---|---|
Doing Business As | DALE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KENNETH G DALE Owner 812-945-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009112) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2015-12-03 |