NPI | 1003290388 |
---|---|
Doing Business As | JAMESTOWNE DENTAL |
Entity Type | Organization |
Authorized Contact | ALLISON GARDINER Member 317-353-4469 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011631A) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |