| NPI | 1699974345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BORKOWSKI Dentist 317-849-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 8889) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-10-22 |