| NPI | 1770744377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J SPOLNIK President 317-924-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 54000259A) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |