| NPI | 1205332327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MATTHEW PIERCE Owner 317-217-9632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011941A) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |