| NPI | 1073832176 |
|---|---|
| Doing Business As | INDRIO DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL HICKEY President 772-359-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2018-04-19 |