| 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 |