| NPI | 1609969567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HAMER President 317-897-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 65000012A) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |