| NPI | 1326378340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO ERASO Dentist 317-352-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010967A) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |