| NPI | 1083874077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN SAXEN President And Owner 317-924-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: IN 12009547) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-05-16 |