| NPI | 1831592070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J SANDERS Owner 317-818-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009323A) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |