| NPI | 1942676242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME CURETON Principal Member 317-989-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009713) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |