| 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 |