| NPI | 1356462097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE E. THOMAN Partner 317-865-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008941) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-05-01 |