| NPI | 1134671241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULAIMAN SHALTONI Owner 317-559-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012029B) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-27 |