| NPI | 1518078435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARUNAS P. TAURAS President 219-757-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IN 7855) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |