NPI | 1205005543 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A LOEFFLER President 317-852-9787 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008750) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |