NPI | 1841505252 |
---|---|
Doing Business As | TIMOTHY J DEVITT, DMD |
Entity Type | Organization |
Authorized Contact | TIMOTHY DEVITT Owner 812-332-2204 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 0652A) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2010-08-10 |