NPI | 1891137865 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVIN PAVLOV CEO 812-603-3996 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IN 13003577A) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-07-19 |