| NPI | 1851591564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H TIMMONS Owner 219-879-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008634) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |