| NPI | 1376837070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME LYN STEELE Pediatric Dentist 317-517-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12010792A) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2023-09-28 |