| NPI | 1467578344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL GREEN President 317-482-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 8575) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-10-20 |