| NPI | 1780732115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA ANNE ALTER President 812-277-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001175A) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |