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 |