| NPI | 1730408428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK A DOWNEY Owner/Dentist 765-966-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011332A) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |