| NPI | 1063885820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A KAHN President 317-299-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009076) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |