| NPI | 1962738898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PHILLIPS Owner 812-238-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN BP5507162) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |