| NPI | 1497044127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A JOHNSON President & Managing Owner 317-534-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12011007A) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |