| NPI | 1326796095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE JONATHON KUZMIC Owner Orthodontist 317-833-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-03-12 |