NPI | 1922200567 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL E. KELLER Owner 812-372-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12008103b) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2015-06-30 |