NPI | 1356707210 |
---|---|
Entity Type | Organization |
Authorized Contact | CURTIS L EAKER President 317-782-3362 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 12009983) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-01-07 |