| NPI | 1225286099 |
|---|---|
| Doing Business As | WASHINGTON STREET DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW E CHURCH Owner/Dentist 317-336-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2013-02-05 |