| NPI | 1982791497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERB JOSEPH YEKEL President 219-838-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 54001463A) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-08-15 |