| NPI | 1144272212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W BAILEY DAVIS President 317-844-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN IN 5317) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |