| NPI | 1558555607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY HORTON Owner/Dentist 317-545-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12010607A) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2012-11-19 |