| NPI | 1295815835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI RUMMELL Front Office Coordinator 317-598-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009305B) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |