| NPI | 1093874638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES BEHREND President 219-531-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009847A) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |