| NPI | 1699367706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L DRONE Owner 219-923-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-03-24 |