| NPI | 1710024575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D HEWITT Co Owner 574-255-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007801) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |