| NPI | 1023147980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GERSTBAUER President 317-241-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009351B) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |