| NPI | 1538184460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROSENBAUM Dental Director 574-245-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12015961) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |