| 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 |