| NPI | 1639870363 |
|---|---|
| Doing Business As | CANAL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK SANFORD Member 317-491-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |