| NPI | 1063001857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN E DAVILA Orthodontist 317-507-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |