| NPI | 1164972352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON P ROBERTSON Dentist 317-874-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011017A) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |