| NPI | 1821207853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T. MEISTER Dentist 219-924-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009034A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-04-29 |