| NPI | 1477005320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE JOSEPH KRAMER President 317-416-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: IN 12010839A) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |