| NPI | 1477913499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B LEWIS Owner 317-571-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009479A) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |