| NPI | 1114230919 |
|---|---|
| Doing Business As | KEYSTONE FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDWARD CHURCH Owner/Dentist 317-252-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010045) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |