| NPI | 1407809585 |
|---|---|
| Other Name | INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KEITH MILLER Administrator 317-913-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-04-14 |