| NPI | 1912915547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRENT HARDIN Owner 317-889-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010572A) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |