| NPI | 1740446939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD FULTON HARRINGTON Owner 574-233-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12010498A) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |