NPI | 1932441847 |
---|---|
Doing Business As | TEVERBAUGH DENTAL |
Entity Type | Organization |
Authorized Contact | DIANA TEVERBAUGH Dentist 317-572-8626 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011392A) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-06-24 |