| NPI | 1215287818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW IVAN MILLER President 317-894-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 54001736A) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |