| NPI | 1780850628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TAYLOR Owner 812-355-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12010198) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |