| NPI | 1811159700 |
|---|---|
| Doing Business As | SHELBYVILLE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDWARD CHURCH Owner/President 317-336-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010045A) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |