| NPI | 1124503966 |
|---|---|
| Other Name | PARADISE DENTAL |
| Entity Type | Organization |
| Authorized Contact | HUONG T VU Owner/Dentist 317-643-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |