| NPI | 1215280896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALDERMAN President 317-569-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 120116031) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |