| NPI | 1689073660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREGORY PYLE Owner 765-288-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009262) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IN 12009262) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-10-16 |