| NPI | 1376847426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE D WHITE Dentist 317-271-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12010882A) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |