NPI | 1902297633 |
---|---|
Doing Business As | FRANKLIN STREET DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHAD GLENN ASHLEY Dentist 812-424-6761 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009744) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |