| NPI | 1538535836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B GASKO President 574-234-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12007239IN) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |