| NPI | 1316463607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RAY EMHARDT Pediatric Dentist/Owner 317-507-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12012171A) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |