| NPI | 1376767525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN M MILLS Dentist 317-883-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010416) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |