| NPI | 1538332457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R. HARTY Dentist 317-881-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 8501) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |