NPI | 1477961746 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANITA TAYLOR Owner/Dentist 317-968-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12011023A) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2014-07-30 |