NPI | 1477703817 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNETTE JEAN WILLIAMSON President 219-663-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008946A) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |