| NPI | 1962375428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK LABLONDE Owner 317-965-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-10-06 |