| NPI | 1003066028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM DOOLEY Chief Operating Officer 317-566-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009121A) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |