NPI | 1689185886 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LUDWIG Owner/Pediatric Dentist 219-929-6739 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011802A) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2017-10-16 |