| NPI | 1134631864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ASHLEY NEESE Owner/Dentist 317-732-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12012134A) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |