| NPI | 1588964589 |
|---|---|
| Doing Business As | MICHIGAN ROAD DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DENISE BEVER Executive Manager 317-875-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009335) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |