| NPI | 1770535916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D TSCHETTER Dentist 812-323-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010765) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |