NPI | 1700639390 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE E FERRY Owner 812-350-4465 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |