| NPI | 1386894756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ANDREW YEGERLEHNER President/Owner 317-422-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010995A) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |