NPI | 1245369644 |
---|---|
Doing Business As | INDIANA DENTAL CENTERS |
Entity Type | Organization |
Authorized Contact | DAVID L MOORE Owner 1317-545-6011 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12006906A) |
Enumeration Date | 2007-03-04 |
Last Update Date | 2020-08-22 |