| NPI | 1134596869 |
|---|---|
| Doing Business As | KOALA CENTER FOR SLEEP DISORDERS IN-2 |
| Entity Type | Organization |
| Authorized Contact | SHANE COPE Owner 317-640-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011052A) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2016-05-16 |