| NPI | 1740386242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD H. MOHLER Presient 765-298-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 12007044A) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |