| NPI | 1568635183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A BECHINSKI Staff Assistant 219-879-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12007148A) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2012-09-24 |