| NPI | 1447323894 |
|---|---|
| Other Name | GENERAL DENTIST |
| Entity Type | Organization |
| Authorized Contact | DON M NEWMAN Owner Dentist 317-293-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010178A) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |