| NPI | 1912020819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SILVERMAN President 812-477-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12010190A) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2020-08-22 |