| NPI | 1255082178 |
|---|---|
| Other Name | CORNERSTONE WEST LLC |
| Entity Type | Organization |
| Authorized Contact | BRYAN SIGG Owener/ Dds 317-897-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |