| NPI | 1922587351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA GILMAN Office Manager 812-238-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009095) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |