NPI | 1104990233 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIS ANN VANNATTER President Owner 317-839-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009821) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |