| NPI | 1790174043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J. KUMFER Member/Dentist 317-887-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011796) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-06-24 |