| NPI | 1699894907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T. CAMPBELL Owner 574-277-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001487A) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |