NPI | 1083746101 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN S SIGG President 317-897-8970 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009780) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-09-17 |