| NPI | 1861417818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY G. SCHECHNER President 219-838-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12008141A) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |