| NPI | 1255602546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE MARY GABRIEL SCHLITT President 574-267-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009989) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |