NPI | 1871204404 |
---|---|
Doing Business As | NORTH MERIDIAN DENTAL EXCELLENCE |
Entity Type | Organization |
Authorized Contact | BENJAMIN DOUGLAS AHLBRECHT Owner 317-617-0014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-12-05 |
Last Update Date | 2022-12-05 |