NPI | 1336353598 |
---|---|
Doing Business As | PIKE PLAZA DENTAL |
Entity Type | Organization |
Authorized Contact | RUSSEL MULAMBA President 317-293-1595 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010225) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |