| NPI | 1023432200 |
|---|---|
| Doing Business As | HARRISON DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEAN TUNGATE Office Manager 317-398-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IN 12011411A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12009085A) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |