| NPI | 1194247940 |
|---|---|
| Doing Business As | 86TH STREET COMPLETE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONA P SINGH Owner 317-748-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-02-26 |