NPI | 1962173575 |
---|---|
Entity Type | Organization |
Authorized Contact | ALONDRA CAMACHO Administrative Assistant 317-597-0184 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-23 |