| NPI | 1861557415 |
|---|---|
| Doing Business As | AVON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REBECCA J DE LA ROSA President 317-272-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 1200--9226) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |