| NPI | 1821273533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHISTOPHER SPOHR President 317-896-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010838A) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |