| NPI | 1770787657 |
|---|---|
| Doing Business As | PREMIER DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARLA KAY WILSON Dentist 317-787-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009690) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-12-06 |