| NPI | 1902293640 |
|---|---|
| Doing Business As | GRAY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINA AL-BITAR Dentist/Owner 317-897-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011375A) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12008789A) |
| 124Q00000X Dental Hygienist (Licence: IN 12008789A) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-22 |