| NPI | 1295118172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ K BAHL Owner/Dentist 219-769-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12011727A) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-09-16 |