| NPI | 1811596299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BUEDEL Manager 812-589-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |