NPI | 1689773343 |
---|---|
Former Legal Business Name | DENNIS J JENKINS DDS |
Entity Type | Organization |
Authorized Contact | DENNIS JEROME JENKINS Owner President 812-246-3386 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009023) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2011-04-25 |