| NPI | 1689088601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK ELBRECHT Dentist 765-622-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010047A) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |