NPI | 1639492838 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMI L. HOVDA Dentist/President 317-844-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010707A) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2010-03-02 |