| NPI | 1649359886 |
|---|---|
| Doing Business As | SONRISA-A PERIODENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | BRIGITTE MILLS Director Of Business Affairs 317-269-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-07-02 |