NPI | 1932521069 |
---|---|
Doing Business As | GROWING GRINS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | DIANA KOZLOWSKI Owner/Pediatric Dentist 317-896-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-08 |