| NPI | 1326342841 |
|---|---|
| Doing Business As | ADVANCED DENTISTRY & TMJ |
| Entity Type | Organization |
| Authorized Contact | MIKE HASHEM DELDAR Owner 317-208-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 12009956A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12009956A) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2011-03-21 |