| NPI | 1801259056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY M FRAME Owner 765-935-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012288A) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |