NPI | 1326133422 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER LESLIE CHAPMAN President 317-852-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12007457) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |