| NPI | 1174734149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL WILLIAM GLANDER Owner 317-888-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12008256A) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-05-05 |