| NPI | 1457481723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L BECKER Corporate Secretary 317-849-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 8263) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |