| NPI | 1295382992 |
|---|---|
| Doing Business As | GREENLEAF ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK LABLONDE LLC Members 317-965-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |