| NPI | 1487633327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E. SMOLNICKY President & Co Owner 219-464-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008756) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |