| NPI | 1396043154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE WRIGHT Office Manager 317-293-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 1200 8734) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |