NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1922662204 |   |   |   | MAPLE CITY DENTISTRY, INC | 1011 MICHIGAN AVE | LA PORTE | IN | 463503584 |
1447663190 | MCKIE | PATRICIA |   |   | 1011 MICHIGAN AVE | LA PORTE | IN | 463503584 |
1003017005 | SEIFERT | VALERIE | MARTINSEN |   | 1011 MICHIGAN AVE | LA PORTE | IN | 463503506 |