| NPI | 1710471016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HEILIGER Office Manager 574-264-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12008725A) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |