| NPI | 1396568994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WATKINS Director Of Revenue Cycle 317-348-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |