| NPI | 1962670034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LUKE EADES President 812-336-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000865) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2015-02-18 |