NPI | 1760873467 |
---|---|
Former Legal Business Name | ERIC J. SUDING, DDS, LLC |
Entity Type | Organization |
Authorized Contact | ERIC JOSEPH SUDING Owner/Dentist 765-282-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011500A) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |