| NPI | 1285762054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M VANES President 219-362-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007819) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |