| NPI | 1710187000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALLEN BUTLER Owner 812-548-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010730A) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |