| NPI | 1457946782 |
|---|---|
| Doing Business As | BOULDER HILL DENTAL |
| Doing Business As | SMILE OBSESSION NORTHBROOK |
| Entity Type | Organization |
| Authorized Contact | VIREN PATEL President 317-258-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |