| NPI | 1508889890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD RUPERT EDER President 317-852-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009188B) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-12-13 |