| NPI | 1508471814 |
|---|---|
| Doing Business As | WHITE RIVER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS M PIERCE O Wner 317-217-9632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |