| NPI | 1548638505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE HAUGHTINGTON Owner/Dentist 219-872-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009354) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |