NPI | 1871512079 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY F WALKER President 317-849-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009157) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2009-04-20 |