| NPI | 1972054286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE ANNE DELUMPA FOLKE Sole Owner/Pediatric Dentist 219-395-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12009505) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |