| NPI | 1376945634 |
|---|---|
| Doing Business As | MICHIGAN CITY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LISA M LENISKI Owner/President 219-879-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12010935A) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-07-06 |