| NPI | 1326128208 |
|---|---|
| Doing Business As | CREVE COEUR ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS ORRICK Manager 317-994-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MO 2005019635) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MO 2003016228) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |