| NPI | 1902964562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A SMITH Office Manager Secretary Of Corpora 317-578-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007179A) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |