| NPI | 1336525567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM GERSHONOWICZ Owner 317-731-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011992A) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |