| NPI | 1649325507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ALAN HOLLANDER President 317-259-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007775A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |