| NPI | 1780041731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A COMPTON Owner/Doctor 219-836-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN XF900678) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |