| NPI | 1720155187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A SMITH Office Manager Scretary Of Corp 765-649-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007179A) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |