| NPI | 1962895201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARRISON HEATH Dentist 317-892-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12012135A) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |