| NPI | 1679783351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY J GEYMAN Dentist 317-733-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010303A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |