| NPI | 1306998315 |
|---|---|
| Former Legal Business Name | INDY DENTAL GROUP WESTFIELD, LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B LEWIS Owner 317-867-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009479) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-01-01 |