| NPI | 1740876168 |
|---|---|
| Doing Business As | HADLEY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUCAS IAN TROUT Dentist 765-748-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2020-12-20 |