| NPI | 1669989257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SUZANNE MURRAY Dds 317-844-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12012745A) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |