NPI | 1306916069 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH B LEWIS Owner 317-571-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009479) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |