| 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 |