| NPI | 1881823565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PAUL JOHNS Owner 812-867-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007351-A) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |