| NPI | 1245751486 |
|---|---|
| Doing Business As | NORTHVIEW DENTAL ON KEYSTONE |
| Entity Type | Organization |
| Authorized Contact | JOHN PASICZNYK Manager 317-731-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |