| NPI | 1184139081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIYUN THOMPSON President/ Dentist/Owner 317-846-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011822A) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |