| NPI | 1578350641 |
|---|---|
| Doing Business As | INDIANA EMERGENCY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MALLORY ELLIS Office Admin 463-276-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-23 |