| NPI | 1205353802 |
|---|---|
| Doing Business As | LORIE G BRINSON, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | LORIE GOODPASTER BRINSON President 317-228-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IN 12010346a) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |