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 |