| NPI | 1265690184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W AUSTIN Owner 317-297-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009386) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |