| NPI | 1255443917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JON WILLIAMS Owner/President 317-839-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 1200-9590) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |