| NPI | 1770671596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ELAINE COATS President 812-752-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009099A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-06-10 |