| NPI | 1992154587 |
|---|---|
| Doing Business As | SPRING GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN PASICZNYK President 317-818-7777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |