| NPI | 1780858928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW ANTHONY NEGRELLI Doctor/Owner 812-342-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009878A) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |