| NPI | 1730359902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C HEARN President 317-867-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009867) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-06-26 |