NPI | 1942709118 |
---|---|
Doing Business As | INDIANA RESTORATIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | TYLER THOMAS Owner 317-844-4155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IN 12012667A) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2018-02-02 |