| NPI | 1790766483 |
|---|---|
| Doing Business As | ADVANCED DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | EMELINE T. DAVIS Dentist 812-232-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12008723) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12009834) |
| 122300000X Dentist (Licence: IN 12010103) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-04-26 |