| NPI | 1891193843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA CZARKOWSKI Pediatric Dentist 317-975-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12011793A) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |