| NPI | 1376971416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A KESSLER Owner 219-988-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008005A) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |