| NPI | 1679783062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J DICKSON President 317-846-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007850) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |