| NPI | 1558875849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE D KINSLER Owner/Dentist 317-450-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011248A) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IN 13007099A) |
| 261QD0000X Clinic/Center, Dental (Licence: IN 12011248B) | |
| 261QD0000X Clinic/Center, Dental (Licence: IN 12008149A) | |
| 261QD0000X Clinic/Center, Dental (Licence: IN 12008149B) | |
| 261QD0000X Clinic/Center, Dental (Licence: IN 13007266A) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |