| NPI | 1518078310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD F BOZIC President 317-844-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 6377) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-25 |