| NPI | 1063610442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO ERASO Dentist 317-850-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IN 12010967A) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |