| NPI | 1700974524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON L WILKINS President 317-535-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009987A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |