| NPI | 1134254170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A BURNS President 317-823-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: IN 12008680A) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-05-01 |