NPI | 1871872317 |
---|---|
Doing Business As | GREENWOOD GENTLE DENTIST |
Entity Type | Organization |
Authorized Contact | JENNIFER S PURVIS Ar Manager 317-359-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-16 |