| NPI | 1508993049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A COMPTON President Owner Doctor 219-836-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN XF900678) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-12-29 |