| NPI | 1891044681 |
|---|---|
| Doing Business As | ST. ANN CLINIC, ST. ANN DENTAL SERVICES, ST. ANN COMMUNITY OUTREACH SE |
| Entity Type | Organization |
| Authorized Contact | PETER COOK CIANCONE President Of The Board Of Directors 812-240-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2020-06-29 |