NPI | 1841476900 |
---|---|
Doing Business As | FALL CREEK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CHERIE YUEN SEDWICK Owner/Dentist 317-842-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12010647A) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2008-09-08 |