| NPI | 1114137932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN CASTOR HELTON Owner 317-575-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12010254A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-12-22 |