| NPI | 1700219912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MYERS D.D.S. 574-549-7232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008811A) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |