| NPI | 1760812366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY DAVID ALLMAND Owner/Dentist 317-250-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12011666A) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12010983A) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-07-21 |