| NPI | 1013407246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMALDEEP S BRAR Dentist 219-924-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012857A) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-15 |