| NPI | 1891892949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MURER President 317-745-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12006626A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12006626A) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |