NPI | 1891203055 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON WAYNE STRICKLAND Owner/President 812-669-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12010768A) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-01-22 |