| NPI | 1962519769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TAYLOR WRIGHT Dentist 317-897-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008771) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010081A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12007835) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |