| NPI | 1417978420 |
|---|---|
| Doing Business As | BROOKWOOD DENTURE |
| Entity Type | Organization |
| Authorized Contact | SUSAN DALE FLAHERTY President 317-782-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009983A) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |