| NPI | 1033309471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD G. ANDERSON Owner 317-569-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12009805) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |