NPI | 1437420528 |
---|---|
Entity Type | Organization |
Authorized Contact | TANET SINCHAI President 219-765-9207 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011170A) |
Enumeration Date | 2012-01-20 |
Last Update Date | 2012-01-20 |