NPI | 1487747325 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT HAMER President 317-897-3066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000547A) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |