| NPI | 1023316155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A TRAGER Owner 317-926-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010793A) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |