| NPI | 1659467009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ILSUN LEW President 317-253-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12006255A) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |