| NPI | 1922125475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ALAN SIMPSON President 765-662-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 8615) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |