| NPI | 1649659913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L SINNIS Doctor 317-547-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009597A) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-12-23 |