NPI | 1841323870 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE E TAUBE Secretary Of Corp. 317-632-6258 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54000394A) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |