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 |