NPI | 1043309719 |
---|---|
Entity Type | Organization |
Authorized Contact | J HAROLD SMITH President 317-872-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 120077065) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |