NPI | 1477997559 |
---|---|
Doing Business As | BRAD SAMMONS DDS, PC |
Entity Type | Organization |
Authorized Contact | BRAD SAMMONS Dentist 317-859-6768 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12009371) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2013-08-27 |