| NPI | 1801991302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W WATKINS Member 812-339-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12007821) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |