| NPI | 1982858007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA ELYSE MOHRMAN President 317-750-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010780A) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |