NPI | 1164972352 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISON P ROBERTSON Dentist 317-874-6885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011017A) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |