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 |