| NPI | 1891063368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON H CONKIN Oral And Maxillofacial Surgeon 317-882-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IN 12011582A) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |