NPI | 1881311736 |
---|---|
Doing Business As | REGION DENTAL GROUP, LLC |
Entity Type | Organization |
Authorized Contact | AJMAL S. WARDAK Dentist/Owner 317-225-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |