| NPI | 1871928432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUVAL ARAZI Owner 317-849-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009945) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12011831A) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |