| NPI | 1427300797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WALTERS President/Owner 317-587-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12008831A) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |