| NPI | 1366982027 |
|---|---|
| Doing Business As | HAMILTON TOWN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T SULLIVAN Dentist Partner 317-797-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |