| NPI | 1750685731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STROTHER Office Manager 317-255-0307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008966) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |