| NPI | 1104990233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ANN VANNATTER President Owner 317-839-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009821) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |