| NPI | 1245779966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RINGO LEUNG President 219-924-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012583A) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |