NPI | 1831279447 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID K HARRISON Owner 260-747-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008577) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2013-02-27 |