| NPI | 1386881431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WEBER Dentist Owner 317-849-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007910) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |