| NPI | 1174625222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN GODWIN STUART Owner/President Of Advanced Endocar 317-848-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 12008500) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-08-15 |