| NPI | 1871085167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI RANA MAHAJAN Orthodontist 317-797-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011584a) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |