NPI | 1912637562 |
---|---|
Doing Business As | STEFANO DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | EMAD ESTAFANOUS Prosthodontist 317-250-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2022-06-15 |
Last Update Date | 2022-06-15 |