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 |