| NPI | 1750636767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEE MURPHY Owner 765-452-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007888) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |