| NPI | 1780865162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY E. LAMBERT Owner 219-663-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001561A) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |