| NPI | 1982124863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. MISCHLER Owner 812-923-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12007954A) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 4963) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |