| NPI | 1841383189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C HOLLAR President 574-267-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009567A) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2011-02-16 |