| NPI | 1518082320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M DILGER-DEWALD President 260-925-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009490) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |