| NPI | 1205024965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT M. HALUM Dentist 219-924-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009620) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |