NPI | 1316128655 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA SHALIT Doctor/Owner 317-849-3444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 1200761A) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2007-11-15 |