| NPI | 1104110923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSIM FAYEZ OLABI Owner/Pediatric Dentist 765-642-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12010787A) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-09-25 |