| NPI | 1013166941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS B MARRS Owner 317-849-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011157A) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-01-09 |