| NPI | 1770923286 |
|---|---|
| Doing Business As | THE CENTER FOR COSMETIC AND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ADAM RICHARDSON Owner 317-738-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011444A) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |