NPI | 1902109317 |
---|---|
Doing Business As | NORA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KRISTEN BONNELL PATE President 317-575-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009695A) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2010-12-08 |