| NPI | 1841369535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRANG KHANH MAI President 574-233-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010453A) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-05-27 |