| NPI | 1316277411 |
|---|---|
| Doing Business As | BRIGHTER IMAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | YEN WAGNER Owner 317-925-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12010286A) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |