| NPI | 1588997183 |
|---|---|
| Doing Business As | PRECISION PERIODONTICS & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANE COPE President 317-564-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IN 12011052A) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |