| NPI | 1386170595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ARCH President/Owner 219-728-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IN 12008672) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |