| NPI | 1154189900 |
|---|---|
| Doing Business As | GLENDALE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW ALEXANDER Owner 317-251-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |