| NPI | 1235260530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY GENE FRANK Vice President 219-462-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IN 54000095A) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |