| 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 |