| NPI | 1447616545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HOLLAND Office Manager 317-271-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 7580) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |