| NPI | 1578880316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN ELMER DAVILA Orthodontist 317-823-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011389A) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |