| NPI | 1437454733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DOUGLAS Owner 317-786-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009346) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |