| NPI | 1326487711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLIFFORD ELLIS Orthodontist 317-881-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011479A) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |