NPI | 1073011078 |
---|---|
Former Legal Business Name | JOHN H HARTMAN DDS |
Entity Type | Organization |
Authorized Contact | JOHN H HARTMAN Doctor 317-581-0215 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009074A) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |