| NPI | 1629189865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX M. MISHEL Owner 317-255-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009382A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |