| NPI | 1710006143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A. LEVIN President 317-596-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12007689A) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |