| NPI | 1619178563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BAILEY President 317-926-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006278) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |