| NPI | 1417129966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L EVANS Owner/Doctor 317-816-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010149) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |