| NPI | 1932484649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KENT WILLIAMS President 812-735-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 7719IN) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 7704IN) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |