| NPI | 1659447480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND LEO RAPP President 317-887-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 54000800A) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |