| NPI | 1699934224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN PEASE Doctor/Owner 317-867-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12010370) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-12 |