| NPI | 1932375268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M. MYRACLE Orthodontist 812-858-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12010421A) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |