NPI | 1881066959 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT MENDOZA Office Manager 317-581-1280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12010273a) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |