| NPI | 1902457039 |
|---|---|
| Doing Business As | SPEEDWAY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DILLON T WILEY Dentist / Owner 317-695-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-07-21 |