| NPI | 1972715043 |
|---|---|
| Doing Business As | ORTHODONTICS, INC. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. KOUFOS Secretary 219-922-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |